【摘要】：目的探討局麻下椎板間入路行經(jīng)皮內(nèi)窺鏡下腰椎髓核摘除術(shù)(PELD)術(shù)中頸痛與頸椎硬膜外壓力(EP)變化的關(guān)系。方法收集該院骨科2013~2015年28例因腰椎間盤突出癥行經(jīng)椎板間入路PELD的患者,術(shù)前于C5~C6節(jié)段安置頸椎硬膜外導(dǎo)管并連接壓力傳感器,整個(gè)手術(shù)過(guò)程持續(xù)監(jiān)測(cè)頸椎EP。結(jié)果 28例患者中有6例發(fā)生了頸痛,術(shù)中頸痛患者開始訴頸痛時(shí)的頸椎EP值(51.5±10.0)mm Hg和最大頸椎EP值(67.8±12.4)mm Hg都明顯高于未發(fā)生頸痛患者的最大頸椎EP值(29.6±12.6)mm Hg,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。頸椎EP值越高的患者發(fā)生頸痛的概率越高(P0.05)。結(jié)論椎板間入路行PELD時(shí)頸痛的發(fā)生與頸椎EP增高有關(guān)。
[Abstract]:Objective to investigate the relationship between cervical pain and epidural pressure (EP) during (PELD) under local anesthesia through interlaminar approach. Methods from 2013 to 2015, 28 patients with lumbar disc herniation underwent interlaminar approach PELD. Cervical epidural catheter and pressure sensor were placed in C5~C6 segment before operation. Cervical EP. was continuously monitored during the whole operation. Results of the 28 patients, 6 had neck pain. The cervical EP value (51.5 鹵10.0) mm Hg) and the maximum cervical spine EP value (67.8 鹵12.4) mm Hg) were significantly higher in the patients with cervical pain than in the patients without cervical pain (29.6 鹵12.6) mm Hg,). The difference was statistically significant (P0.05). The higher the cervical EP value, the higher the incidence of cervical pain (P0.05). Conclusion Cervical pain is related to the increase of cervical EP during interlaminar approach PELD.
【作者單位】： 重慶醫(yī)科大學(xué)附屬第二醫(yī)院骨科;
【基金】：重慶市醫(yī)學(xué)科研計(jì)劃項(xiàng)目(2011-1-053)
【分類號(hào)】：R614.3
，

本文編號(hào)：2384910